LILLIAN A DOMALIK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062398

License Status

NOT RENEWED

Business

First Name

LILLIAN A

Last Name

DOMALIK

Business Name

LILLIAN A DOMALIK

Original Issue Date

01/16/1986

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/15/2005